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Patient-Centered Care

Diana Gonzalez
Merisa Akuszewski
Azusa Pacific University

Objectives
Definition
Eight Dimensions
Essentials of Patient-Centered Care
Communication
Teamwork
Service Quality
Patient-Centered Care Outcomes
Facilitators & Barriers
Defining Patient-Centered Care
Patient centered care is care based on a
partnership between the patient, their families,
and the health care provider that is focused on
the patients values, preferences, and needs





Boykins, D. (2014). Core Communication Competencies in Patient-Centered Care. ABNF Journal, 25(2), 40-45.

Care is individualized and
customized
Cultural competency
Patient advocacy
Patients and families, not
clinicians, have control over
health care decisions.
Patient Autonomy

Defining Patient-Centered Care
Hughes, R. (2011). Overview and summary: Patient-centered care: Challenges and rewards. The Online Journal of Issues in Nursing,16 (2).
McCance, T., McCormack, B., Dewing, J. (2011). An exploration of person-centredness in practice. The Online Journal of Issues in Nursing, 16 (2) Manuscript 1.

http://www.nationalresearch.com/products-and-solutions/patient-and-family-experience/eight-dimensions-of-patient-centered-care/
Communication
Therapeutic Communication
Nursing Students
Barriers to Communication
Interprofessional Collaboration
SBAR
Huddles

Boykins, D. (2014). Core Communication Competencies in Patient-Centered Care. ABNF Journal, 25(2), 40-45.


Teamwork
Partnership between
patient and caregivers
Shared-decision
making
Multidisciplinary
collaboration needed
to provide
personalized care
Ignatavicius, D. & Worman, L. (2013). Medical-Surgical Nursing: Patient-Centered Collaborative Care.
(7th ed.). St. Louis, Mo: Saunders Elsevier.

Service Quality
Dimensions
Gaps in Service
Patient Expectation vs. Nurse Perception Gap
Nurse and nursing administrator perceptions vs.
Patient centered care standards gap
Patient Satisfaction
Surveys, HCAPs


Dabney, B., & Huey-Ming, T. (2013). Service Quality and Patient-Centered Care. MEDSURG Nursing, 22(6), 359-364.

Patient-Centered Care Leads to...
(Bertakis & Azari, 2011; Grumbach & Grundy, 2010; Oshima Lee & Emanuel, 2013)




Better outcomes
Safer environment
Fewer medical and
medication errors
Fewer patient falls
Lower cost
Decreased length of stay
Increased patient satisfaction
Facilitators & Barriers to Patient-
Centered Care
Key Organizational-Level Facilitators:
Strong, committed senior leadership
Communication of strategic vision
Engagement of patients and families
Sustained focus on employee satisfaction
Regular measurement and feedback reporting
Adequate resourcing for care delivery redesign
Building staff capacity to support delivering patient-centered care
Accountability and incentives
Culture that is strongly supportive of change and learning
Barriers:
Attitudes of healthcare professionals
Time needed to implement changes
(Luxford, Safran, & Delbanco, 2011)
References
Bertakis, K. & Azari, R. (2011). Patient-centered care is associated with decreased health care utilization. Journal of American Board of
Family Medicine, 34(3), 229-239. doi: 10.3122/jabfm.2011.03.100170
Boykins, D. (2014). Core Communication Competencies in Patient-Centered Care. ABNF Journal, 25(2), 40-45. Retrieved from:
http://web.b.ebscohost.com/ehost/detail?vid=6&sid=86ab2aa1-ef3d-45e6-9022-
89a0ff2d6533%40sessionmgr111&hid=120&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=rzh&AN=2012546038
Dabney, B., & Huey-Ming, T. (2013). Service Quality and Patient-Centered Care. MEDSURG Nursing, 22(6), 359-364.
http://web.b.ebscohost.com/ehost/detail?vid=6&sid=86ab2aa1-ef3d-45e6-9022-
89a0ff2d6533%40sessionmgr111&hid=120&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=rzh&AN=2012416250
Grumbach, K. & Grundy, P. (2010). Outcomes of implementing patient centered medical home interventions: A review of the evidence
from prospective evaluation studies in the United States. Patient Centered Primary Care Collaborative, 1-16. Retrieved from:
http://forwww.pcpcc.net/files/evidence_outcomes_in_pcmh_2010.pdf
Hughes, R. (2011). Overview and summary: Patient-centered care: Challenges and rewards. The Online Journal of Issues in Nursing,16
(2).
Ignatavicius, D. & Worman, L. (2013). Medical-Surgical Nursing: Patient-Centered Collaborative Care. (7th ed.). St. Louis, Mo:
Saunders Elsevier.
Luxford, K., Safran, D. & Delbanco, T. (2011). Promoting patient-centered care: A qualitative study of facilitators and barriers in
healthcare organizations with a reputation for improving the patient experience. International Journal for Quality in Health Care,
23(5), 510-515. Retrieved from: http://intqhc.oxfordjournals.org/content/23/5/510.full.pdf+html
McCance, T., McCormack, B., Dewing, J. (2011). An exploration of person-centredness in practice. The Online Journal of Issues in
Nursing, 16 (2) Manuscript 1.
Oshima Lee, E. & Emanuel, E. (2013). Shared decision making to improve care and reduce costs. New England Journal of Medicine,
368 (1), 6-8. doi:10.1056/NEJMp1209500 Retrieved from http://www.nejm.org/doi/full/10.1056/NEJMp1209500